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1558925537
AMANDA POWELL
FREDERICKSBURG, VA
NPI
1558925537
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: VA 0131002158)
Enumeration Date
2019-04-25
Last Update Date
2019-04-25
Business Address
AMANDA POWELL COTA/L
12100 CHANCELLORS VILLAGE LN
FREDERICKSBURG, VA 22407-6100
Phone number: 540-685-0175
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Mailing Address
AMANDA POWELL COTA/L
10115 MOLLY LN
GLEN ALLEN, VA 23060-4429
Phone number: 804-516-4412
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